Individual provider Active NPI

Steven M Bantz, LISW

  • Mental Health Counselor
  • Burlington, IA
National Provider Identifier
1720578982
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008332 Issued in IA
Practice address
4717 Sullivan Slough Rd
Burlington, IA 52601-9013
Phone
(319) 752-4000
Fax
(319) 752-6933
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008332 IA Primary

Addresses

Primary practice location

4717 Sullivan Slough Rd
Burlington, IA 52601-9013

Mailing address

4717 Sullivan Slough Rd
Burlington, IA 52601-9013
Phone (319) 752-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000602 IA Practitioner - Clinical Social Worker 4284155136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young House Family Services IncorporatedGroup PAC ID 4981125911, 3 clinicians

Practice addresses (Care Compare)

4717 Sullivan Slough Rd
Burlington, IA 52601-9013
Phone 31975240001135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008332IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Young House Family Services CurrentSince Nov 18, 2025 Accepting new patients
Young House Family Services, Incorporated CurrentSince Jan 12, 2025 Accepting new patients

Locations

400 S Broadway St
Burlington, IA 52601
Phone (319) 752-4000

4717 Sullivan Slough Rd
Burlington, IA 52601
Phone (319) 752-4000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/younghouse/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1720578982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 SULLIVAN SLOUGH RD",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526019013",
            "telephone_number": "319-752-4000",
            "fax_number": "319-752-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SULLIVAN SLOUGH RD",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526019013",
            "telephone_number": "319-752-4000",
            "fax_number": "319-752-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTZ",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "008332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

Verify at the official NPI Registry.